UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY (NPI# 1255994141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255994141 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY |
| Practice Address |
4300 Old Shell Rd Ste B Mobile AL 36608-2036 |
| Mailing Address |
6701 Airport Blvd Ste A101 Mobile AL 36608-6767 |
| Practice Telephone | 2513427880 |
| Practice Fax Number | 2513428369 |
| Mailing Telephone | 2513786209 |
| Mailing Fax Number | 2513786222 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Authorized Official Name | ERICA MADISON (CREDENTIALING) |
| Authorized Official Telephone | 2513786209 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| USA Health Dermatology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316259 | University of South Alabama Health Care Authority | Internal Medicine | 2503 Old Shell Rd, Mobile, AL 36607-3021 | 2020-11-04 |
| 1851859938 | University of South Alabama Health Care Authority | Pain Medicine | 3290 Dauphin St Ste 204, Mobile, AL 36606-4014 | 2019-03-07 |
| 1609489178 | University of South Alabama Health Care Authority | Clinic/Center | 524 Stanton Rd, Mobile, AL 36617-2343 | 2020-08-25 |
| 1639787435 | University of South Alabama Health Care Authority | Family Medicine | 2270 Hillcrest Rd, Mobile, AL 36695-3808 | 2020-07-17 |
| 1346871167 | University of South Alabama Health Care Authority | Internal Medicine | 28260 Us Highway 98, Daphne, AL 36526-7075 | 2020-01-30 |
| 1306486253 | University of South Alabama Health Care Authority | Internal Medicine | 7885 Moffett Rd, Semmes, AL 36575-5487 | 2020-01-08 |
| 1417413840 | University of South Alabama Health Care Authority | Urology | 1047 Fairhope Ave, Fairhope, AL 36532-3145 | 2019-02-11 |
| 1174005102 | University of South Alabama Health Care Authority | Specialist | 3290 Dauphin St Ste 301, Mobile, AL 36606-4052 | 2018-09-06 |
| 1386121937 | University of South Alabama Health Care Authority | Internal Medicine | 75 S University Blvd, Mobile, AL 36608-3042 | 2018-07-26 |
| 1124528286 | University of South Alabama Health Care Authority | Clinic/Center | 1261 Hillcrest Rd, Mobile, AL 36695 | 2018-02-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | University of South Alabama Health Care Authority | 307 University Blvd N Ad 170, Mobile, Al 36688-2, |
| Street Address |
4300 OLD SHELL RD STE B |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144420936 | Springhill Dermatology Clinic, PC | Dermatology | 4300 Old Shell Rd Ste B, Mobile, AL 36608-2036 | 2007-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891179727 | Gulf Coast Dermatology & Skin Care Centre Pllc | Dermatology | 6701 Airport Blvd Ste D232, Mobile, AL 36608-6757 | 2015-07-09 |
| 1851447460 | Scott Freeman | Dermatology | 70 Midtown Park E, Mobile, AL 36606-4140 | 2007-01-26 |
| 1487755328 | Aldo Trovato | Dermatology | 3715 Dauphin Street Building 2, 4th Floor, Mobile, AL 36608-1771 | 2006-09-25 |
| 1477577757 | Robert Neil Capper | Dermatology | 5317 Oak Bend Ct, Mobile, AL 36609-2202 | 2006-07-27 |
| 1366471286 | John Scott Vanloock | Dermatology | 6163 Omni Park Dr, Mobile, AL 36609-5195 | 2006-07-02 |
| 1700826443 | Roberta G Swain | Dermatology | 3153 Dauphin St, Mobile, AL 36606-4061 | 2006-06-08 |
| 1912985243 | Amy M Morris | Dermatology | 4310 Old Shell Rd, D, Mobile, AL 36608-2049 | 2006-01-06 |
| 1649266792 | Thomas W Bender IIi | Dermatology | 580 Providence Park Dr E, 2nd Floor, Mobile, AL 36695-4614 | 2005-09-23 |
| 1891798807 | Belin Fred Bodie | Dermatology | 4300 Old Shell Rd, Ste B, Mobile, AL 36608-2036 | 2005-05-23 |
| 1336523265 | Gulf Coast Dermatology & Skin Care Centre Pllc | Dermatology | 580 Providence Park Dr E, Mobile, AL 36695-4614 | 2015-07-09 |
| Find all providers in MOBILE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.